Individual provider Active NPI

Teresa Mildred Morales Martinez

  • Behavior Analyst
  • Hialeah, FL
National Provider Identifier
1497103337
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-38640 Issued in FL
Practice address
20110 Red Run Dr
Hialeah, FL 33015-2119
Phone
(786) 369-9000
NPI assigned
Jun 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Behavior Analyst 103K00000X 1-19-38640 FL Primary

Addresses

Primary practice location

20110 Red Run Dr
Hialeah, FL 33015-2119

Mailing address

20110 Red Run Dr
Hialeah, FL 33015-2119
Phone (786) 369-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mildred Services Inc Behavior Analyst CurrentSince Jul 31, 2023 Accepting new patients

Locations

3450 W 84th St
Ste 202H
Hialeah, FL 33018
Phone (786) 369-9000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1497103337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20110 RED RUN DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152119",
            "telephone_number": "786-369-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20110 RED RUN DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152119",
            "telephone_number": "786-369-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES MARTINEZ",
        "first_name": "TERESA",
        "middle_name": "MILDRED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-38640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.